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ECRA newsletter

Lead Extraction

As the indications for pacemakers and intracardiac defibrillators increase, the
number of patients with cardiac devices continues to rise. Pacemaker consists of:
(1) pulse generator, which is usually replaced every 5-10 years, and (2) intercardiac
leads, which are designed to be permanently implanted. The most common reason for
lead extraction is device infection. The presence of infection generally necessitates
the complete removal of the pacemaker. The second most common reason for lead extraction
is when a lead fails to work properly (for example, due to a break in the metal
wire or surrounding insulation). Sometimes, the broken lead can be abandoned in
the heart, with a new lead placed alongside without posing any danger to the patient.

Recently, lead extraction procedures have evolved into a definable, teachable
art with its own specific tools and techniques. The indications and the practice
of lead extraction are the focus of this special issue of the EPS magazine.